<link rel="stylesheet" href="<?=style_url('form137a');?>">
<?
	$region = 'Region II';
	$schoolname = 'Dummy Test School';
	$municipality = 'Dummy test municipality';
?>
<div id="form_137">
<i>DepEd Form 137-A</i>
	<table id="header">
		<tr>
			<td>&nbsp;&nbsp;</td>
			<td><img src="<?=image_url('deped_logo1.jpg');?>"></td>
			<td class="title">
				<p>Republic of the Philippines</p>
				<p><strong>DEPARTMENT OF EDUCATION</strong></p>
				<p><?=$schoolname;?></p>
				<p><?=$municipality;?></p>
				<p><strong>SECONDARY STUDENT'S PERMANENT RECORD</strong></p>
			</td>
			<td style="text-align:left;"><img src="<?=image_url('logo_deped_right.jpg');?>"></td>
			<td>&nbsp;&nbsp;</td>
		</tr>
	</table>
	<br>
	<br>
	
	<table>
		<tr>
			<td style="text-align:center;width:250px;border-bottom:1px solid #000;"></td>
			<td style="width:125px;">Date Of Birth: Year</td>
			<td style="border-bottom:1px solid #000;text-align:right;"></td>
			<td style="width:10px;">Month</td>
			<td style="border-bottom:1px solid #000;width:100px;"></td>
			<td style="width:10px;">Day</td>
			<td style="border-bottom:1px solid #000;width:40px;"></td>
			<td style="width:10px;">Sex</td>
			<td style="border-bottom:1px solid #000;width:40px;"></td>
		</tr>
		<tr>
			<td style="text-align:center;width:250px;">(surname)&nbsp;&nbsp;&nbsp;(given name)</td>
		</tr>
	</table>
	
	<table>
		<tr>
			<td style="width:150px;">Place Of Birth: Province</td>
			<td style="border-bottom:1px solid #000;text-align:right;"></td>
			<td style="width:50px;">Town</td>
			<td style="border-bottom:1px solid #000;text-align:right;"></td>
			<td style="width:50px;">Barrio</td>
			<td style="border-bottom:1px solid #000;text-align:right;"></td>
		</tr>
	</table>
	<table>
		<tr>
			<td style="width:150px;">Parent or Guardian</td>
			<td colspan="3" style="border-bottom:1px solid #000;text-align:right;"></td>
		</tr>
		<tr>
			<td style="width:150px;">&nbsp;</td>
			<td>(name)</td>
			<td>(address)</td>
			<td>(occupation)</td>
		</tr>
	</table>
	<table>
		<tr>
			<td style="width:190px;">Elementary Course Completed</td>
			<td style="border-bottom:1px solid #000;text-align:center;"></td>
			<td style="width:50px;">School</td>
			<td style="border-bottom:1px solid #000;text-align:center;"></td>
			<td style="width:45px;">Year</td>
			<td style="border-bottom:1px solid #000;text-align:center;"></td>
			<td style="width:75px;">Gen. Ave.</td>
			<td style="border-bottom:1px solid #000;text-align:center;"></td>
		</tr>
	</table>
	<div class="break"><p><strong>RECORD OF STANDARD INTELLIGENCE AND ACHIEVEMENT TEST</strong></p></div>

	<table id="achievement_test">
		<thead>
			<tr>
				<td style="text-align:center;">Name and Form of Test</td>
				<td style="text-align:center;">Score Recieved</td>
				<td style="text-align:center;">Percentile Rank</td>
				<td style="text-align:center;">Name and Form of Test</td>
				<td style="text-align:center;">Score Recieved</td>
				<td style="text-align:center;">Percentile Rank</td>
			</tr>
		</thead>
		<tbody>
		<tr>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
		</tr>
		<tr>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
		</tr>
		</tbody>
	</table>
	
	<table>
		<tr>
			<td style="width:45px;">School</td>
			<td style="width:320px;border-bottom:1px solid #000;text-align:center;"></td>
			<td style="width:50px;">Year</td>
			<td style="border-bottom:1px solid #000;text-align:center;"></td>
			<td style="width:50px;">Section</td>
			<td style="border-bottom:1px solid #000;text-align:center;"></td>
		</tr>
	</table>
	
	<table>
		<tr>
			<td style="width:100px;">Total Number of years in school date</td>
			<td style="width:340px;border-bottom:1px solid #000;text-align:center;"></td>
			<td style="width:70px;">School Year</td>
			<td style="width:50px;border-bottom:1px solid #000;text-align:center;"></td>
			<td style="width:10px;">-</td>
			<td style="width:50px;border-bottom:1px solid #000;text-align:center;"></td>
		</tr>
	</table>
	
	<br><br>
	
	<table id="grades">
		<thead>
			<tr>
				<td rowspan="2" style="text-align:center;width:200px;">Subject</td>
				<td colspan="4" style="text-align:center;">Periodical Traning Average Cumulative</td>
				<td rowspan="2" style="text-align:center;">Final Rating</td>
				<td rowspan="2" style="text-align:center;">Action Taken</td>
				<td rowspan="2" style="text-align:center;">Units Earned</td>
				<td rowspan="2" style="text-align:center;">Extra Curricular Activities</td>
			</tr>
			<tr>
				<td style="text-align:center;">1</td>
				<td style="text-align:center;">2</td>
				<td style="text-align:center;">3</td>
				<td style="text-align:center;">4</td>
			</tr>
		</thead>
		<tbody>
		<tr>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
		</tr>
		<tr>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
		</tr>
		<tr>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
		</tr>
		<tr>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
		</tr>
		<tr>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
		</tr>
		<tr>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
			<td>&nbsp;</td>
		</tr>
		</tbody>
	</table>
	
	<br>
	
	<table id="attendance">
		<thead>
			<tr>
				<td style="text-align:center;"></td>
				<td style="text-align:center;">June</td>
				<td style="text-align:center;">July</td>
				<td style="text-align:center;">Aug</td>
				<td style="text-align:center;">Sept</td>
				<td style="text-align:center;">Oct</td>
				<td style="text-align:center;">Nov</td>
				<td style="text-align:center;">Dec</td>
				<td style="text-align:center;">Jan</td>
				<td style="text-align:center;">Feb</td>
				<td style="text-align:center;">Mar</td>
				<td style="text-align:center;">April</td>
				<td style="text-align:center;">May</td>
				<td style="text-align:center;">TOTAL</td>
			</tr>
		</thead>
		<tbody>
		<tr>
				<td style="text-align:center;">Days Of School</td>
				<td style="text-align:center;"></td>
				<td style="text-align:center;"></td>
				<td style="text-align:center;"></td>
				<td style="text-align:center;"></td>
				<td style="text-align:center;"></td>
				<td style="text-align:center;"></td>
				<td style="text-align:center;"></td>
				<td style="text-align:center;"></td>
				<td style="text-align:center;"></td>
				<td style="text-align:center;"></td>
				<td style="text-align:center;"></td>
				<td style="text-align:center;"></td>
				<td style="text-align:center;"></td>
		</tr>
		<tr>
			<td style="text-align:center;">Days Present</td>
			<td style="text-align:center;"></td>
			<td style="text-align:center;"></td>
			<td style="text-align:center;"></td>
			<td style="text-align:center;"></td>
			<td style="text-align:center;"></td>
			<td style="text-align:center;"></td>
			<td style="text-align:center;"></td>
			<td style="text-align:center;"></td>
			<td style="text-align:center;"></td>
			<td style="text-align:center;"></td>
			<td style="text-align:center;"></td>
			<td style="text-align:center;"></td>
			<td style="text-align:center;"></td>
		</tr>
		</tbody>
	</table>
	
	
</div>